Virginia Occupational Therapy Association

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* Mandatory fields

*First name

*Last name

*Email Address

Facility Name/Organization

Home Phone

Professional Designation(s)

OT/L

OTR/L

OTA/L

COTA/L

OTS/OTAS

*City, State

Optional Contributions

State Legislative Services (this is not a PAC)

Scholarship

Sustaining Member (at least 30% of your membership category)

*Amount ($USD)

Comment

6200 Lakeside Avenue | Richmond | VA | 23228
T: (804) 523-2911
F: (804) 288-3551
office@vaota.org